Supreme Court Overrules Public Safety

A Supreme Court ruling last year has begun to show its true colors, as many federal cases against Medical Technology Corporations will go unheard. In February of 2008, the high court decided to restrict the legal options for patients who claim they have been injured by a defective device. If the Food and Drug Administration has approved the device after, “rigorous review,” than a suit cannot be filed under state laws.

This unjust ruling will prevent many individuals who have been subject to hard due to faulty design from collecting the compensation they need to maintain a reasonable quality of life.

Devices that are not properly engineered can have catastrophic effects when implanted in a patient. Janet Moore, of the Star Tribune, provides us with an example:

“Make it stop,” Liz Fossum remembers thinking.

For about an hour early that November morning two years ago, Fossum’s implanted defibrillator repeatedly shocked her heart — 54 times all told. It felt like a horse was kicking her in the chest.

The 68-year-old grandmother from Golden Valley now knows that part of her heart device, an insulated wire made by Medtronic Inc., had been recalled by federal regulators because a small number had malfunctioned, occasionally causing unnecessary shocks.

Unfortunately for people like Ms. Fossum, there is little she can now do under the new law. Several Hundred cases had been filed against Sprint Fidelis, all of which were subsequently dismissed as a result of the Supreme Court decision. Obviously, all those affected by the faulty product were outraged by the Supreme Court’s decision to protect corporate interests over the interests of the public.

This new decision has left consumers without any means to remedy the harmful situation they were put in by a lack of vigilance on the part of the FDA. Henry Waxman, a Representative from California, believes that the Supreme Court puts too much faith in the FDA testing process. He stated that, “The Supreme Court assumed that FDA approval ensures medical devices are safe, but many recent stories of patients harmed by faulty devices have proven those assumptions false.”

Waxman along with New Jersey Representative Frank Pallone plan to introduce legislation that would circumvent the Supreme Court ruling and protect Americans from dangerous medical devices. Until that time however, citizens must remain vigilant. If you are in need of or considering the possible use of a medical device, please research all companies and available options fully. Until the government decides to protect consumers again, self-education is the best defense.

If you have been subject to a faulty medical device, please contact an attorney immediately. There are several possible options, which may allow you the compensation you deserve.

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A Quarter of Nursing Homes Flunk the Test

In mid December, the federal government unveiled its new rating system, which it uses to help advise the public on the quality of care they are receiving from their local area nursing homes. This system will help individuals make informed decisions about the institution they trust with the care of their loved ones.

Under the new system, five stars means a nursing home ranks “much above average,” four stars indicates “above average,” three means “about average,” two is “below average” with a one indicating “much below average.” The rankings will be updated quarterly. Senator Herb Kohl of Wisconsin stated that the new ranking system would help bolster transparency, which is, “…the key when it comes to nursing home quality.”

Unfortunately, along with the progress of informed decision making came the shocking realization that almost a quarter of all nursing homes in the country have been given the federal government’s lowest possible rating: one out of five stars. Receiving such a low rank in particular had to do with the high percentage of patients with bedsores after their first 90 days in the nursing home and the number of residents whose mobility worsened after admission.

When nursing homes are understaffed, over worked, and improperly trained, the results can be catastrophic. Where there is lack of individual patient attention, pressure sores and decreased mobility are sure to follow. When it comes to protecting your loved ones, please pay strict attention to the federal rating system. Alice Hedt of the Insititute for Nursing Home Reform states that, “Our initial reaction is that consumers should probably avoid any facility with a one- or two-star rating and even a three-star rating unless people they trust convince them that the rating is inaccurate or unfair.” However, the rating system alone is not enough to properly judge. Ms. Hedt advises that, “…Nothing should substitute visiting a nursing home when making a decision.”

If you are in the process of finding a nursing home for your loved one, please pay strict attention to the federal ranking system. If you have a family member already in a nursing home, please remember to check on them regularly. Bedsores are a life threatening injury, and should be checked for regularly. If your family member has been subject to bedsores due to a lack of proper care, please contact an attorney to help remedy the situation as fast as possible.

Related Information:

New Jersey Lawyers – Nursing Home Abuse

Sleepy Doctors Increase Harm to Patient by 700%, and Death Up by 300%

It doesn’t take a genius to know that without the proper amount of sleep, job performance drastically decreases. Sleep deprived workers in any profession increases the risk of error, and injury. When sleep deprivation occurs in the practice of medicine however, lives can be lost. So why is it that in a majority of hospitals around the country, studies have found that resident doctors are simply not getting enough sleep to provide proper care to their patients?

According to recent study by the Institute of Medicine, doctors in training should work no longer than 16 hours in a row without a five-hour nap to reduce risk to patients. The study was performed after increasing alarm amongst researchers who observed a majority of hospitals allowing 30-hour shifts without a required amount of sleep. To make things worse, Resident doctors, who are under paid and overburdened with student loans, usually end up having to supplement their income by moonlighting at other hospitals.

When the individual in charge of your well-being has not slept for 30 hours, they become a danger to themselves, and that danger passes on to you. According to a study by the Public Library of Public Medicine, it has been found that, “…sleep-deprived doctors are at high risk of making mistakes that injure or kill patients. When residents reported working five marathon shifts in a single month [30 straight hours or more], their risk of making a fatigue-related mistake that harmed a patient increased by 700%, and the risk of an error that resulted in a patient’s death shot up 300%.”

Figures of this size are unacceptable. The recent study demanding 5 hours of sleep per 16 hours of work is indeed a step in the right direction, however it is not enough to solve an epidemic problem in our health care system. Simply put, at current rates, residents are not getting enough sleep to properly care for patients. Although all residents have only the highest of intentions, they can easily make mistakes when hospitals force them into these marathon shifts.

If you or a loved one is currently in the care of a hospital, and you suspect they have been have not received proper care due to a sleep-deprived staff, please inform the hospital immediately. Hopefully mistakes and accidents can be avoided by bringing it to the hospital’s attention. If you suspect wrongful death or injury due to a sleep deprived hospital staff however, please do not hesitate to contact an attorney. You may be entitled to compensation.

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Medical Research Continues to Lose Integrity

Senator Charles E. Grassley has raised some serious concern over a recent article published in the Elsevier Medical Journal. The Senator has asked the publisher to investigate an article written on hormone replacement therapy, believing that it was improperly “ghostwritten” by a drug company promoting their products. The article was part of an editor’s choice section in Elsevier’s Journal of Obstetrics and Gynecology.

In an article signed by Dr. John Eden of Australia, Senator Grassley has found unethical promotions lacking scientific evidence. At the heart of the controversy is the drug company Wyeth. Mr. Grassley, a member of the Senate Finance Committee who is investigating drug company influence on doctors, contends that Wyeth commissioned the articles and had them ghostwritten by a medical writing firm. Only after the articles were conceived and under way did the firm line up doctors to put their names on them, Mr. Grassley contends.

Unfortunately, this is not an isolated incident. Drug companies have been forcing their will on medical research results for decades now, and the influence of corporate profit is on the rise. By 2006, Drug companies were spending nearly twice as much on advertising and marketing as they were on the research and testing needed to ensure the safety of a new product.

Mr. Grassley’s investigation shows how results of this corporate policy can be catastrophic. A landmark federal study has linked Wyeth’s Prempro hormone product to breast cancer in women. What does the expert testimony sponsored by Wyeth say about that taxpayer funded study? Dr. Eden’s controversial article states that, “there was no definitive evidence that the [Wyeth] hormones caused breast cancer.”

It seems the Wyeth Corporation and Dr. Eden have forgotten the meaning of the Hippocratic oath.

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Willow Crest Manor Shut Down by Department of Public Works

Residents of Philadelphia and Willow Grove were appalled to find out that their local nursing homes, Willow Crest Manor, was being shut down by the Department of Public Works.  The DPW was quick to pull the plug on the home after investigations in to two suspicious deaths uncovered gross negligence and massive rule violations. 

The list of egregious violations included the administration of recalled drugs after the date of the recall, the distribution of medicine to its customers by unlicensed and under trained employees, and the use of prescription drugs without a doctor’s orders.  The DPW found that medicines given to residents weren’t being recorded, often resulting in patients receiving over or under doses of their life saving medication.  One resident said that after he told the staff he needed insulin, they did not provide it to him, forcing him to inject it himself while unsupervised.

The deaths of a 49-year old woman and a 24-year-old man with cerebral palsy found dead in his bed have resulted from similar violations.  It was obvious that residents at Willow Crest were in immediate and serious danger. The DPW ordered that all 51 residents, about half of who are elderly and most of whom suffer from mental illness, be evacuated and relocated at once.

Willow Crest Manor was among many major homes in the Philadelphia metropolitan area under scrutiny by the DPW.  There seems to be a common link between them all however: Owner Annand P Mittal.  The DPW has been finding serious state violations at his other agencies—including Southampton Manor in Bucks County, and Diston Manor and Adelphia in Philadelphia—that have caused them to ban his operating licenses.

Evidence from around the state and the rest of the country has highlighted that this is not an isolated problem.  Many privately owned for-profit nursing homes have been subject to criticism due to excessive negligence and rule violations.  Thankfully the Department of Public Works has done the right thing, however they certainly wont be able to remedy the damages already dealt by Willow Crest and other facilities like it.   If you know someone who has been a victim of the Willow Crest Manor or any other Pennsylvania or New Jersey nursing homes, please contact the Law Firm of John Mininno. There are legal remedies to help your family.

Related Information:

New Jersey Home Abuse Lawyers

New Jersey Bedsores Attorneys

DRUG ALERT : Ethex Corporation Recalls Overdosed Propafenone Tablets

As first reported on November 11th, there has been a Propafenone recall by the ETHEX Corporation because the pills may have been oversized, which could result in overdose of the drug Propafenone.

Three different strengths were recalled, all of them Propafenone HCI tablets made by the ETHEX Corporation. They were 150mg, 225mg and 300mg pills from any of the following lots with expiration dates ranging from 6/2009 to 3/2011.

Below are the recalled lot numbers:

150 mg – 73761, 78184, 79373, 81240, 81241, 81242, 83470, 84357, 90525, 90526
225 mg – 71720, 74831, 76014-15, 81243-45, 89731, 90527-29, 90657
300mg – 72834, 76016-18, 81246, 89092, 89732, 90530, 90532, and 91641-42

The 150 mg Propafenone Hydrochloride pills are white, scored round film coated tablets with “ETH” on one side and “331? with a bisect on the reverse. The 225 mg Propafenone Hydrochloride pills are white, scored round film coated tablets with “ETH” on one side and “332? with a bisect on the reverse. The 300 mg Propafenone Hydrochloride pills are white, scored round film coated tablets with “ETH” on one side and “333? with a bisect on the reverse. Life threatening consequences of overdosing on Propafenone Hydrochloride includes heart arrhythmias (irregular heartbeat) and dangerously low blood pressure.

If you or someone you know is prescribed Propafenone, please call your physician immediately.An overdose of this substance is very serious, and can cause severe harm.

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Is Grandma Safe in the Nursing “Home” for the Holidays? Safety violations reported in 94% corporate nursing homes

“More than 90 percent of nursing homes were cited for violations of federal health and safety standards last year, and for-profit homes were more likely to have problems than other types of nursing homes, federal investigators say in a report issued on Monday.” Robert Pear, The New York Times

The Department of Human Health and Services has found nearly 94% of for profit nursing homes, many run by large corporations, have been cited for safety violations.This statistic is appalling, considering the millions dollar profits being made by these nursing homes. For the year 2008, nursing homes charge families $77,380 on average for a room and $36,372 for assisted living rooms.With costs increasingly rising, poor patient care and frequent violations are inexcusable.

If it wasn’t bad enough that these corporate nursing homes drastically overcharge, for the quality of care they provide, they are also supplementing their profits by overcharging taxpayers.Inspector General of the Department of Human Health and Services said he had found some cases in which nursing homes billed Medicare and Medicaid for services that, “were not provided, or were so wholly deficient that they amounted to no care at all.”

The decision to place a member of your family in a nursing home or assisted living is difficult, but often necessary.If you currently have a family member in assisted living or a nursing home, please make sure that someone you trusts checks them regularly to ensure that the home is providing proper care.Never hesitate to ask the staff any question, and always bring up any concern you have.Write down the names of the individuals with whom you speak.Do not let nursing home staffs tell you that you are worrying too much.When it comes to the care of your family, you can never be cautious enough. Finally, remember that neglect and abuse has many signs, some of which can be hard to immediately detect.Every time you visit your family member, be sure to always check the following by talking to the staff, and making your own observations: 1. be sure that there are no signs of bruising on your family member from possible abuse, 2. make sure that they are receiving the proper and necessary medication and nutrition, 3, makes sure that the staff is frequently monitoring that there are no bed or pressure sores developing, and 4. make sure that nursing home staff is capable of responding immediately to an emergency situation.

If you suspect abuse, you can report it to the local regulatory authorities:

In Pennsylvania you can go to the Office of Aging website

http://www.aging.state.pa.us/aging/site/default.asp

In New Jersey, contact the Adult Protective Services

http://www.state.nj.us/health/senior/aps.shtml

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Contact a Nursing Home Abuse Lawyer in New Jersey

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Medical Malpractice Caps Favor Insurance Companies Instead Of Protecting Injury Victims

BusinessReport.com ran a story this morning about two medical malpractice lawyers in Louisiana. The lawyers are trying to fight the medical malpractice cap adopted by the State of Louisiana, one of twenty-five states to adopt such legislation. At simplest, these caps put a roof on the possible rewards for victims of medical malpractice. In Louisiana, and some other states, the cap is $500,000. In the case in which these two Louisiana lawyers are fighting the cap, a thirteen year-old girl, who had to have her leg amputated because of malpractice, was awarded by a jury of her peers around $3.5 million dollars. She cannot and will not receive this award, because of the cap.

It reminds me of the way in which politicians have tied the hands of judges in mandatory minimum sentencing legislation. Just as a judge, whose been appointed or voted to the bench by us, cannot use his or her expertise to sentence and rule on criminal trials, so too are juries of our peers prevented from making determinations based on their own humanity and understanding of medical malpractice cases, such as this one. So, inevitably, we ask why?

This article from BusinessReport explains quite accurately that the caps exist to prevent medical malpractice insurance providers from raising insurance premiums to the extent that doctors will avoid practicing medicine in states with high premiums. This would lower the quality of health care in certain states. This logic is upsetting in two ways. First, the discussion of whether or not the health care quality has increased in those states seems a bit undercut by way of its context: a thirteen year old girl who’s missing a leg, because of malpractice in a state with a cap. Second, its an example of politicians trying to legislatively control our legal system (to the detriment of the average American) by tying the hands of juries, rather than trying to legislatively control the big-business insurance companies, who are hiking up doctors’ medical malpractice insurance rates. To this day, the purchase and regulation of car insurance has been legislatively mandated by our federal government. Why not control the medical insurance companies rather than risk a fall-out of quality health care and the deprivation of reasonable rewards to children who have suffered from medical malpractice? They have shown no reason why they cannot regulate the insurance premiums, rather than the victim’s rewards.

If you or a loved one has been harmed by medical malpractice, you may have a claim for damages. For more information, please go to the New Jersey Medical Malpractice Attorney page.

John R. Mininno, Esq. is a New Jersey and Pennsylvania trial lawyer representing clients in medical malpractice, defective products and other serious injury claims. He also writes about issues concerning patient safety. His offices are in Collingswood, NJ and Philadelphia, PA.

Medical Malpractice News: WHO Tackles Surgical Deaths & Complications

The World Health Organization (WHO) has taken a stand this week against unnecessary medical complications that occur in the operating room.  In response to the increasing occurrence of medical mistakes and subsequent medical malpractice suits, the WHO has issued a list of simple safety checks aimed at reducing surgical death and complications.

An example of the recommendations issued by the WHO are as follows:

  1. All members of a surgical team are to identify themselves and state out loud exactly what type of surgery is to be preformed on the patient;
  2. Members of the surgical team should physically mark the site of surgery and incision to avoid operating on the wrong body part or patient;
  3. Administer antibiotics within 60 minutes of making an incision;
  4. Verify drug allergies before prescribing medication;
  5. Insert two intravenous lines for operations with substantial blood loss; and
  6. Count all sponges and needles to ensure surgical instruments are not left in the body.

The full article and complete list of recommendations can be found on the New York Time’s website.

From The Mayo Clinic: Symptoms of A Pressure Sore

Learning how to spot a bedsore is the best way to help a loved one living in an elder care or rehabilitation facility.  If not treated properly, bedsores can be fatal.  At the very least they are painful and may slow the patient’s recovery process by weeks, if not months.

Furthermore, bedsores are almost always an indication of neglect from the nursing home staff.  That is why you must familiarize your self with the signs and symptoms of a bedsore so you can take immediate action in the case of nursing home abuse.

The Mayo Clinic offers the following description of pressure sores, as well as prominent areas that a bedsore may form:

Bedsores fall into one of four stages based on their severity. The National Pressure Ulcer Advisory Panel, a professional organization dedicated to the prevention and treatment of pressure sores, has defined each stage as follows:

  • Stage I. Initially, a pressure sore appears as a persistent area of red skin that may itch or hurt and feel warm and spongy or firm to the touch. In blacks, Hispanics and other people with darker skin, the mark may appear to have a blue or purple cast, or look flaky or ashen. Stage I wounds are superficial and go away shortly after the pressure is relieved.
  • Stage II. At this point, some skin loss has already occurred — either in the epidermis, the outermost layer of skin, in the dermis, the skin’s deeper layer, or in both. The wound is now an open sore that looks like a blister or an abrasion, and the surrounding tissues may show red or purple discoloration. If treated promptly, stage II sores usually heal fairly quickly.
  • Stage III. By the time a pressure ulcer reaches this stage, the damage has extended to the tissue below the skin, creating a deep, crater-like wound.
  • Stage IV. In the most serious and advanced stage, a large-scale loss of skin occurs, along with damage to muscle, bone, and even supporting structures such as tendons and joints. Stage IV wounds are extremely difficult to heal and can lead to lethal infections.

If you use a wheelchair, you’re most likely to develop a pressure sore on:

  • Your tailbone or buttocks
  • Your shoulder blades and spine
  • The backs of your arms and legs where they rest against the chair

When you’re bed-bound, pressure sores can occur in any of these areas:

  • The back or sides of your head
  • The rims of your ears
  • Your shoulders or shoulder blades
  • Your hipbones, lower back or tailbone
  • The backs or sides of your knees, heels, ankles and toes

Alternatively, if you have read the previous bedsore information and believe that you or a loved one may have been the victim of nursing home neglect, call (856) 833-0600 in New Jersey or (215) 567-2380 in the Philadelphia metro area.  You can also contact a nursing home abuse attorney by filing out the case evaluation form on the left side of the page. A legal professional will contact you within 12 hours to discuss your case.